JEANETTA EDWARDS (NPI# 1033756036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033756036 |
| Entity Type | Individual |
| Full Name | JEANETTA EDWARDS |
| Credential | LCPC |
| Practice Address |
128 Valleywood Dr Steger IL 60475-1571 |
| Practice Telephone | 7734159003 |
| Mailing Telephone | 7734159003 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180011814 | IL | Behavioral Health & Social Service Providers |
| Street Address |
128 VALLEYWOOD DR |
| City | STEGER |
| State | IL |
| Zip Code | 60475-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989717 | Appointments Moving Transporation | Non-emergency Medical Transport (VAN) | 309 W 35th Street Unit 317, Steger, IL 60475 | 2018-04-17 |
| 1912070418 | John Charles Grabow | Dentist | 3112 Union Avenue, Steger, IL 60475 | 2006-11-15 |
| 1295891695 | Village of Steger | Ambulance | 35 W 34th St, Steger, IL 60475-1013 | 2006-12-29 |
| 1700953817 | Peter D. Sotiropoulos, Au.d. and Assoc, PC | Audiologist | 29 W 34th St, Steger, IL 60475-1016 | 2006-11-30 |
| 1720613284 | Connie Hughley | Social Worker | 3108 Peoria St, Steger, IL 60475-1037 | 2020-03-05 |
| 1336683697 | Debra Petroni | Registered Nurse | 3130 Peoria St, Steger, IL 60475-1037 | 2016-12-06 |
| 1609262625 | Nicole Cosino | Massage Therapist | 3021 Sangamon St, Steger, IL 60475-1044 | 2015-04-07 |
| 1649362443 | Shyamal Bose | Internal Medicine | 3030 Chicago Rd, 3030 Chicago Road, Steger, IL 60475-1055 | 2006-09-29 |
| 1154814663 | Ebony Cheriece Williams | Nurse Practitioner | 3030 Chicago Rd, Steger, IL 60475-1055 | 2018-06-08 |
| 1811496979 | Visiting Physicians Home Care S.c. | Internal Medicine | 3030 Chicago Rd, Steger, IL 60475-1055 | 2018-02-05 |
| Find all providers in zip 60475 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228025 | Adrienne Bonita Claxton | Counselor | 304 W 34th St Apt 213, Steger, IL 60475-1414 | 2017-11-13 |
| 1376691766 | James Elmer Odom | Counselor | 3021 Florence Ave, Steger, IL 60475-1146 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
| 1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.